Organization · NPI-2

Amini Dental Corporation

Dentist, General Practice · Orange, CA

NPI number1831222611
StatusActive
Last updated in NPPESMar 18, 2015

Details

NPI
1831222611
Entity type
Organization (NPI-2)
Legal business name
Amini Dental Corporation
Organization subpart
Yes
Enumeration date
Mar 13, 2007
Last updated
Mar 18, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice47032CAYes
1223G0001X Dentist, General Practice––

Other names

  • Shiny Dental Prac (Doing Business As)

Practice location

1916 N Tustin St
Orange, CA 92865

Phone 714-282-9966 · Fax 714-282-9969

Mailing address

1916 N Tustin Ave.
Orange, CA 92865

Phone 714-282-9966 · Fax 714-282-9969

Authorized official

Mohammad Amini
President/ Dentist
7142829966

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